HEARTLITE HOSPICE, INC. NPI 1003872649

Hospice Care, Community Based in Scottsboro, AL

About HEARTLITE HOSPICE, INC.

Heartlite Hospice, Inc. is a provider in Scottsboro, AL. The NPI number assigned to this provider is 1003872649. The practitioner's primary taxonomy code is Hospice Care, Community Based (251G00000X). The provider is registered as an organization and their NPI record was last updated 5 years ago.

NPI1003872649 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameHEARTLITE HOSPICE, INC.
Provider Location Address100 WEST CHARLOTTE AVENUE SCOTTSBORO, AL 35768 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address800 W. ROSSEVELT ROAD SUITE C-206 GLEN ELLYN, IL 60137 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-22-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-29-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

HEARTLITE HOSPICE, INC.
100 WEST CHARLOTTE AVENUE
SCOTTSBORO, AL
ZIP 35768
Phone: (256) 259-1754
Fax: (256) 259-1790
Get Directions

Mailing Address

HEARTLITE HOSPICE, INC.
800 W. ROSSEVELT ROAD
SUITE C-206
GLEN ELLYN, IL
ZIP 60137
Phone: (630) 942-0100
Fax: (256) 259-1790

Primary Taxonomy

Taxonomy Code251G00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationHospice Care, Community Based
TypeAgencies
License No.11278
License StateAL

Authorized Official

Authorized Official NameMR. CURTIS A DANEKAS CPA Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCHIEF FINANCIAL OFF
Authorized Official Phone(630) 942-0100

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
011634MEDICARE OSCAR/CERTIFICATION (06)

Map Location


HEARTLITE HOSPICE, INC. address is 100 WEST CHARLOTTE AVENUE SCOTTSBORO, AL 35768